This week’s topics include metabolic surgery, talking with patients about advanced cancer, sodium in those with kidney disease, and blood pressure in the elderly.

Program notes:

0:34 Blood pressure lowering in elderly
1:31 Blood pressure below 120
2:34 Intensive required one more medicine
3:35 Long term examination of treatment
4:01 Sodium and kidney disease
5:02 Followed for 7 years
6:01 Conflicting data in those without kidney disease
6:50 People with advanced cancer and talks with their physician
7:50 Those who had had recent discussions understood more
8:50 Patients may not choose treatment if they understood
9:15 Expanding indications for bariatric surgery
10:05 Several types of surgery
10:51 End